Tracey Louise Green, PMHNP in Detroit, MI - Medicare Nurse Practitioner

Tracey Louise Green, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Detroit, Michigan. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Meridian Professional Psychological Consultants and her current practice location is 882 Oakman Blvd Ste D, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 961-7990.

Tracey Louise Green is licensed to practice in Michigan (license number 4704290410) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1295136729.

Contact Information

	Tracey Louise Green, PMHNP
	882 Oakman Blvd Ste D, Detroit, MI 48238-4019
	(313) 961-7990
	Not Available

Map and Direction

Provider's Profile

Full Name	Tracey Louise Green
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	882 Oakman Blvd Ste D, Detroit, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tracey Louise Green graduated from nursing school in 2019

NPI Data:

NPI Number: 1295136729
Provider Enumeration Date: 09/16/2014
Last Update Date: 10/20/2021

Medicare PECOS Information:

PECOS PAC ID: 7810226065
Enrollment ID: I20190912002483

Medical Identifiers

Medical identifiers for Tracey Louise Green such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295136729	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	4704290410 (Michigan)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Meridian Professional Psychological Consultants	5193880284	15

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Tracey Louise Green allows following entities to bill medicare on her behalf.

Entity Name	Neighborhood Service Organization
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891825808 PECOS PAC ID: 7113907387 Enrollment ID: O20040720001455

Entity Name	Meridian Professional Psychological Consultants
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225150139 PECOS PAC ID: 5193880284 Enrollment ID: O20090225000155

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tracey Louise Green is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Tracey Louise Green, PMHNP 35870 Sherborne Dr, Clinton Township, MI 48035-3565 Ph: (586) 224-4595	Tracey Louise Green, PMHNP 882 Oakman Blvd Ste D, Detroit, MI 48238-4019 Ph: (313) 961-7990

Reviews and Comments

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Kathleen Mclaughlin, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3980 John R, Detroit, MI 48201 Phone: 888-362-2500

Tracey Louise Green, PMHNP - Medicare Nurse Practitioner in Detroit, MI